00:01
So, now, let's look at the joints of the digits.
00:04
So, here, we can see we have
the metacarpophalangeal joints
between the metacarpals
and the proximal phalanges.
00:12
And then, we have proximal interphalangeal joints
between the proximal and the middle phalanges.
00:18
And then, we have the distal interphalangeal
joints between the middle and the distal phalanges.
00:23
So, here, we can see all of these
and obviously, in the thumb,
we only have one interphalangeal joint
because you only have two phalanges in your first digit.
00:33
So, here, we've got the metacarpophalangeal
joints connecting between the distal head
of the metacarpal bone and the
proximal end of the proximal phalanx.
00:43
Here, we can see the joint capsule
and we have a number of ligaments
which again, help to reinforce it. We have
the lateral collateral ligament here.
00:51
We also have a palmar ligament
on a palmar aspect.
00:55
Movements of these are abduction which we're
familiar with when we looked at the muscles of the hand
and adduction and you could see these happening
at the metacarpophalangeal joints.
01:05
You also have limited amounts
of rotation and circumduction
and as you'd expect at the
metacarpophalangeal joints,
you have flexion and extension but notice
how flexion is much more pronounced
than extension as you form that grip.
If we then look at the interphalangeal joints,
these are really occurring at the distal end of the hand
between the proximal and middle and distal phalanges.
01:30
And you can see each one
of them has a joint capsule.
01:33
These are reinforced by some
interphalangeal collateral ligaments
and the movements associated
with these are quite complex.
01:40
You could have flexion and you can have extension,
but try to remember the organization of the muscles,
the dorsal and the palmar interossei, the lumbricals
that are all helping to move fingers in this direction.
01:55
So, there's quite a lot of the anatomical
structures located around the joints
and it's important you're
familiar with the movements
that help to move - that enables the upper
limb to assume different positions.